1977, 05-26 Permit App: M1543 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
9y2.al
Name of Owner • t -/ Address Q Y / ! -Phone
Architect Address Phone
Engineer ��!/ ^ Address L� fr Phone
Contractor AC }% D eve �r7D bHP Alf C = e9 L. Address -Pa H1 C Phone
Lega Description of Property (Give complete description from. deed, tax receipt, etc )
of- 13/DC.I� 1) loiter AcIc it, 04
iN
�,q g V/
Pa.vr_ .l PT AI Q3.i/-0793
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 92_1' X /23. '.1.3 , Sewage System C ell l'i C Cons . ...
r tek)61
Stories r� Dimensions 70 X LI ` N CTotal Sq. Ft . gZ Valuation 6d VO
Rooms
L_ Baths Basement Foundation Const [ l Y ,f Chim ey J ! ' I Fireplace( e4
�e
Full part, none in
Heat. System 4./& Circe_ Type of Roofing en m �` s Ext. Finish 77 —'/ Int. Wall Finish 1 4 /� 6041 i -e
Use of Bldg. D4t /P,( an e/ ct ✓4t y e. / a.1ffc CLt elf ioide e- qtd'PC— No. of Units42-Bedrooms 2 E'dCil Sr�C'.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
I hereby c y information
as shown.
SOUTH
State License No,
cif/—DE-1/0—W2.1110
Ind. Ins. Acct. No.
347981
REQUIRED t/
Plumbing Permit /ec;5«h 19�uilt';Nq
m Heating Permit A 4 / - I 42i& /i fV /
aSewage Permit �ci1 Wc2- �� V
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
Owne, or Agent Date
A LAND USE OR S �'"UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRU ION COMMENCES.
THIS IS'NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be K�
Sewage Permit Number Issued Building Permit 4
Remarks
The zone is� f'�
Receipt <- Issued
Form 523 Bldg. Code
1
1
&c
6
1
„4. 1).
(!)`°
AI
2 q
R TI4
• •
'• , '„ •
0
Do *4-4— 13
r)
#